Vaginal discharge

Abnormal vaginal discharge is a common complain for seeking help by women in reproductive age group , stands 2nd after dysfunctional uterine bleeding for attendance in gynaecological clinics

Physiological 1-4 ml of fluid/24 hrs transparent , thick or thin and usually odorless - this is normal for women of reproductive age ( also known as physiological leucorrhoea )This changes with menstrual cycle and increase during high oestrogen states as ovulation, luteal phase , puberty and pregnancy

Pathological - vaginitis ( e.g, atrophic vaginitis in post menopausal women )

allergy or contact dermatitis ( e,g latex , sperm , douching , dyes )

chemical irritant ( e.g, soaps , tampons , pads , condoms )

foreign body vaginitis ( retained FB as tampon, condom , vaginal sponge)

cervical polyps , ectopy

fistulas ( urinary or faecal )

erosive lichen planus

poor hygiene

desquamative inflammatory vaginitis

tumours (fallopian tube cancer , vulva , vagina , cervix & endometrium ie involving any part of the genital tract )

pelvic irradiation

Bechet’s syndrome

A change in colour , consistency , volume or odour & may be associated with symptoms as itch , soreness , dysuria , pelvic pain , bleeding.

Bacterial vaginosis -Most common...